Organization

Impact Counseling Services, Llc

Adolescent and Children Mental Health Clinic/Center in Rhinelander, WI(View on Map)

Legal Business Name

Impact Counseling Services, Llc

NPI Number

1417121666

NPI Type

Organization

Enumeration Date

04/18/2008

Specialties

(Taxonomies)

Code

261QM0855X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

43005300

Contact
Information

Purpose

Mailing
Location

Address

15655 CO HWY B
158 S ANDERSON ST

City

Hayward
Rhinelander

State

WI
WI

Postal Code

54843
54501-3447

Country

US
US

Telephone Number

(715) 634-0607
(715) 362-6390

Authorized Official

Name

Renee Millwood

Title or Position

DIRECTOR

Telephone Number

(715) 634-0607

Identifiers

Identifier

43006000

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/06/2008

Provider Address